Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02173 | Date 06/07/2022 |
| Token No | SM/22-23/16607 16/12/2023 | Serial | 040 |
| Patient Name | Mrs. SHARMILA MUKHERJEE | Contact No | 9433805827 |
| Address | 29/E S C CHATTOPADHYAY SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||